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The COVID-19 pandemic in Chad was a part of the ongoing worldwide pandemic of coronavirus disease 2019 () caused by
severe acute respiratory syndrome coronavirus 2 Severe acute respiratory syndrome coronavirus 2 (SARS‑CoV‑2) is a strain of coronavirus that causes COVID-19 (coronavirus disease 2019), the respiratory illness responsible for the ongoing COVID-19 pandemic. The virus previously had a ...
(). The virus was confirmed to have reached Chad in March 2020. As the third least developed nation in the world, according to the HDI in 2019, Chad has faced unique economic, social, and political challenges under the strain of the COVID-19 pandemic.


Background

On 12 January 2020, the
World Health Organization The World Health Organization (WHO) is a specialized agency of the United Nations responsible for international public health. The WHO Constitution states its main objective as "the attainment by all peoples of the highest possible level of ...
(WHO) confirmed that a
novel coronavirus Novel coronavirus (nCoV) is a provisional name given to coronaviruses of medical significance before a permanent name is decided upon. Although coronaviruses are endemic in humans and infections normally mild, such as the common cold (caused by ...
was the cause of a complex respiratory illness in a cluster of people in
Wuhan Wuhan (, ; ; ) is the capital of Hubei Province in the People's Republic of China. It is the largest city in Hubei and the most populous city in Central China, with a population of over eleven million, the ninth-most populous Chinese city an ...
City,
Hubei Hubei (; ; alternately Hupeh) is a landlocked province of the People's Republic of China, and is part of the Central China region. The name of the province means "north of the lake", referring to its position north of Dongting Lake. The ...
Province, China, which was reported to the WHO on 31 December 2019. The
case fatality ratio In epidemiology, case fatality rate (CFR) – or sometimes more accurately case-fatality risk – is the proportion of people diagnosed with a certain disease, who end up dying of it. Unlike a disease's mortality rate, the CFR does not take int ...
for COVID-19 has been much lower than SARS of 2003, but the transmission has been significantly greater, with a significant total death toll. Model-based simulations for Chad indicate that the 95% confidence interval for the time-varying reproduction number ''R t'' for Chad fluctuated around 1.0 in late 2020 and early 2021. Studies on the ground have illustrated that the country is not adequately equipped to handle a pandemic. With roots tracing back to a violent and recent colonial history, many sectors of the Chadian economy and government are under-developed. Of specific concern regarding a global pandemic, the health sector faces many challenges in Chad. Issues such as geographic accessibility, government and foreign-aid funding conflicts, brain drain emigration, and poor infrastructure shape the scope of care systems. Understanding the context of the Chadian health sector, pre-pandemic, helps to set a foundational understanding for the struggles the nation now faces and paths for the future.


Timeline


2020


March

* On 19 March, Chadian authorities reported their first case, a Moroccan passenger who flew from
Douala Douala is the largest city in Cameroon and its economic capital. It is also the capital of Cameroon's Littoral Region. Home to Central Africa's largest port and its major international airport, Douala International Airport (DLA), it is the com ...
. * On 26 March, with three cases already reported, Chadian authorities reported two additional positive cases. The cases were a 48-year-old Chadian and a 55-year-old Cameroonian passenger on a 17 March
Ethiopian Airlines Ethiopian Airlines (commonly referred to as Ethiopian; am, የኢትዮጵያ አየር መንገድ, translit=Ye-Ītyōṗṗyā āyer menged), formerly ''Ethiopian Air Lines'' (EAL), is the flag carrier of Ethiopia, and is wholly owned by ...
flight from
Dubai Dubai (, ; ar, دبي, translit=Dubayy, , ) is the most populous city in the United Arab Emirates (UAE) and the capital of the Emirate of Dubai, the most populated of the 7 emirates of the United Arab Emirates.The Government and Politics of ...
and
Brussels Brussels (french: Bruxelles or ; nl, Brussel ), officially the Brussels-Capital Region (All text and all but one graphic show the English name as Brussels-Capital Region.) (french: link=no, Région de Bruxelles-Capitale; nl, link=no, Bruss ...
, respectively, via
Addis Ababa Addis Ababa (; am, አዲስ አበባ, , new flower ; also known as , lit. "natural spring" in Oromo), is the capital and largest city of Ethiopia. It is also served as major administrative center of the Oromia Region. In the 2007 census, t ...
. * On 30 March, two more cases of COVID-19 were reported, a Chadian citizen from
Douala Douala is the largest city in Cameroon and its economic capital. It is also the capital of Cameroon's Littoral Region. Home to Central Africa's largest port and its major international airport, Douala International Airport (DLA), it is the com ...
and a Swiss citizen from
Brussels Brussels (french: Bruxelles or ; nl, Brussel ), officially the Brussels-Capital Region (All text and all but one graphic show the English name as Brussels-Capital Region.) (french: link=no, Région de Bruxelles-Capitale; nl, link=no, Bruss ...
. * In total in March, 7 cases were confirmed with no deaths. As there were no recoveries in March, the number of active cases at the end of the month was 7.


April

* On 2 April, Chad registered a new case of COVID-19, a Chadian who traveled from
Dubai Dubai (, ; ar, دبي, translit=Dubayy, , ) is the most populous city in the United Arab Emirates (UAE) and the capital of the Emirate of Dubai, the most populated of the 7 emirates of the United Arab Emirates.The Government and Politics of ...
via Abuja. * On 3 April, a new case of COVID-19 was registered, a French citizen who traveled from
Brussels Brussels (french: Bruxelles or ; nl, Brussel ), officially the Brussels-Capital Region (All text and all but one graphic show the English name as Brussels-Capital Region.) (french: link=no, Région de Bruxelles-Capitale; nl, link=no, Bruss ...
via
Paris Paris () is the Capital city, capital and List of communes in France with over 20,000 inhabitants, most populous city of France, with an estimated population of 2,165,423 residents in 2019 in an area of more than 105 km² (41 sq mi), ma ...
. * On 6 April, Chad recorded its first case of local contamination, a 31-year-old Chadian who was in contact with another Chadian who had diagnosed positive. * On 9 April, health officials reported a new case of virus infection, a 59-year-old Chadian who arrived on March 25 in
N'Djamena N'Djamena ( ) is the capital and largest city of Chad. It is also a special statute region, divided into 10 districts or ''arrondissements''. The city serves as the centre of economic activity in Chad. Meat, fish and cotton processing are the c ...
. The man was returning from
Pakistan Pakistan ( ur, ), officially the Islamic Republic of Pakistan ( ur, , label=none), is a country in South Asia. It is the world's fifth-most populous country, with a population of almost 243 million people, and has the world's second-lar ...
, via
Cameroon Cameroon (; french: Cameroun, ff, Kamerun), officially the Republic of Cameroon (french: République du Cameroun, links=no), is a country in west-central Africa. It is bordered by Nigeria to the west and north; Chad to the northeast; the C ...
, having reached N'Djamena by land. The man continued his journey to
Abéché Abéché ( ar, أبشه, ''Absha'') is the fourth largest city in Chad and is the capital of Ouaddaï Region. It has within it the remnants of the ancient capital, including palaces, mosques, and the tombs of former sultans. History The city o ...
where he was finally quarantined on 4 April. The test was declared positive on 8 April. * During April there were 66 new cases, bringing the total number of confirmed cases to 73. Two deaths were reported on 28 April and three more on 30 April, bringing the total death toll to five. 33 patients recovered, leaving 35 active cases at the end of the month.


May

* In May there were 705 new cases, bringing the total number of confirmed cases to 778. The death toll rose to 65. There were 458 new recoveries, raising the total number of recovered patients to 491. At the end of the month there were 222 patients representing active cases.


June

* During June there were 88 new cases, bringing the total number of confirmed cases to 866. The death toll rose by 9 to 74. There were 290 more recoveries, bringing the total number of recovered patients to 781. At the end of June there were 11 active cases.


July to December

* There were 70 new cases in July, 77 in August, 180 in September, 306 in October, 189 in November, and 425 in December. The total number of cases stood at 936 in July, 1013 in August, 1193 in September, 1499 in October, 1688 in November, and 2113 in December. * The number of recovered patients stood at 813 in July, 880 in August, 1007 in September, 1330 in October, 1525 in November, and 1704 in December, leaving 48 active cases at the end of July, 56 at the end of August, 101 at the end of September, 71 at the end of October, 62 at the end of November, and 305 at the end of December. * The death toll rose to 75 in July, 77 in August, 85 in September, 98 in October, 101 in November, and 104 in December.


January to December 2021

* On 1 January, Chad locked down its capital
N'djamena N'Djamena ( ) is the capital and largest city of Chad. It is also a special statute region, divided into 10 districts or ''arrondissements''. The city serves as the centre of economic activity in Chad. Meat, fish and cotton processing are the c ...
in response to rising infections. The country banned gatherings of over 10 people, limited its airspace to cargo flights only, and shut down schools, universities, places of worship, bars, restaurants and non-essential public services. * Vaccinations started on 4 June, initially with 200,000 doses of the Sinopharm BIBP vaccine donated by China. * There were 4,070 confirmed cases in 2021, bringing the total number of cases to 6,183. 80 persons died, bringing the total death toll to 184. * Modelling carried out by the Regional Office for Africa of the World Health Organization suggests that due to underreporting, the true number of cases by the end of 2021 was around 7.2 million while the true number of COVID-19 deaths was around 9900.


January to December 2022

* There were 1,468 confirmed cases in 2022, bringing the total number of cases to 7,651. Ten persons died, bringing the total death toll to 194.


January to December 2023

* There were 171 confirmed cases in 2023, bringing the total number of cases to 7,822. The death toll remained unchanged.


Statistics


Confirmed new cases per day


Confirmed deaths per day


Response

As a preventive measure, the government cancelled all flights into the country, except for cargo flights. Furthermore, the government responded with similar and standard global practices of mandating mask wearing in public spaces, creating a curfew from 8 pm to 5 am, checking temperatures at airports and supporting "quarantine hotels", as well raising public awareness of the viral threat through campaigns and advertisements. Schools, public life such as bars and social clubs, and government work was closed along with social distancing requirements. Of importance to note is the paradox of low corona virus cases in Chad given the strained health systems in place. Researchers have theorized that these low numbers may have a multitude of answers: notably the population's previous exposure and experience with infectious disease, as well the average age of the population, 52.8 years, being under the highest levels of "at-risk ages" for the COVID-19 pandemic, around 65 years old and poor records and/or testing of cases. The IMF details responses the Chadian government has worked to implement such as subsidizing the agricultural sector, tax break plans, focusing on essential imports such as food distribution, suspending household bills, and clearing domestic debt. Of importance to track in response to the pandemic is Chad's increasing ties with China. China has a relationship with the nation through generous loan programs, and throughout the pandemic these ties have increased as China has stepped up to provide food distribution aid as well as medical equipment and support in zones of active violence in Chad.


See also

*
COVID-19 pandemic in Africa The COVID-19 pandemicpandemic was confirmed to have spread to Africa on 14 February 2020, with the first confirmed case announced in Egypt. The first confirmed case in sub-Saharan Africa was announced in Nigeria at the end of February 2020. W ...
*
COVID-19 pandemic by country and territory This is a general overview and status of places affected by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), the virus which causes coronavirus disease 2019 (COVID-19) and is responsible for the COVID-19 pandemic. The first human ...


References


External links

{{COVID-19 pandemic